Health facility-based data on women receiving sulphadoxine-pyrimethamine during pregnancy in Tanzania: lessons to learn from a cross-sectional survey in Mkuranga and Mufindi districts and other national survey reports

Reproductive Health

Paul Bloch⁶  Fabrizio Molteni³  Leonard EG Mboera⁴  Mufungo Marero³  Jasper N Ijumba⁷  Ib C Bygbjerg⁵  Pascal Magnussen¹  Jens Byskov¹  Godfrey M Mubyazi² 

[1] DBL - Centre for Health Research and Development, Faculty of Life Sciences, University of Copenhagen, Copenhagen, Denmark;Department of Health Systems & Policy Research & Centre for Enhancement of Effective Malaria Interventions (CEEMI), National Institute for Medical Research (NIMR) - Headquarters, 2448 Ocean Road, P.O. Box 9653, Dar-Es-Salaam, Tanzania;Ministry of Health and Social Welfare, National Malaria Control Programme (NMCP), Dar Es Salaam, P.O. Box 9083, Dar es Salaam, Tanzania;NIMR, Directorate of Information Technology and Communication, National Institute for Medical Research, Headquarters, P.O. Box 9653, Dar es Salaam, Tanzania;Institute of International Health, Immunology and Microbiology, Faculty of Health Sciences, University of Copenhagen, Bleddamsvej 3, DK 2200 Copenhagen N, Denmark;Steno Diabetes Center, Steno Health Promotion Center, Gentofte, Denmark;The Nelson Mandela African Institute of Science and Technology, P.O. Box 447, Arusha, Tanzania

关键词: Antenatal care;    Malaria prevention;    Health information;    Intermittent;   

Others  :  805076
DOI  :  10.1186/1742-4755-11-6

 received in 2012-07-30, accepted in 2014-01-07,  发布年份 2014

【 摘 要 】

Background

A study of health facility (HF) data on women receiving sulphadoxine-pyrimethamine (SP) for intermittent preventive treatment of malaria during pregnancy (IPTp) was carried out at antenatal care clinics in Mkuranga and Mufindi districts.

Methods

A review of health management information system (HMIS) registers, interviews with health-care workers (HWs) and district and national level malaria control program managers corroborated by inter-temporal assessment through observations at HF levels. Statistical data were analyzed in Excel and interpreted in triangulation with qualitative data from interviews and observations.

Results

Data indicated that IPTp doses administered to women were inadequate and partly inconsistent. HMIS registers lacked space for IPT records, forcing HWs to manipulate their record-keeping. The proportion/number of IPTp recipients in related to the supply of SP for free delivery, to women’s attendance behaviours, showed variation by quarter and year of reporting.

Conclusion

It is impossible to achieve rational health service planning when the HMIS is weak. Whilst it is acknowledged that the HMIS is already overloaded, concerted measures are urgently needed to accommodate data on new interventions and other vertical programs if malaria programs are to achieve their goals.

【 授权许可】

   
2014 Mubyazi et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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